Individual provider Active NPI

Sagger Hameed Mawri, M.D.

  • Interventional Cardiology Physician
  • Dayton, OH
National Provider Identifier
1750725487
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
322142 Issued in LA
Practice address
122 Wyoming Street
Dayton, OH 45409
Phone
(937) 223-4461
Fax
(937) 224-1945
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 322142 LA Primary
Cardiovascular Disease Physician 207RC0000X 322142 LA

Addresses

Primary practice location

122 Wyoming Street
Dayton, OH 45409

Mailing address

225 Dunn St
Houma, LA 70360-4440
Phone (985) 876-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200731000759 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4587896402 Reassigns benefits to 4 organizations
I20210720000632 OH Practitioner - Interventional Cardiology 4587896402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

122 Wyoming St
Dayton, OH 45409-2731
Phone (937) 438-8640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal28
Leg revascularization (restoring blood flow)17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
322142LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Jan 1, 2021 Accepting new patients
Lsuhn Billing LLC CurrentSince Aug 25, 2020 Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease CurrentSince Sep 10, 2021 Accepting new patients
St. Martin Hospital, Inc. Cardiovascular Disease CurrentSince Jan 1, 2021 Accepting new patients
Premier Health Specialists Inc CurrentSince Sep 10, 2021 Accepting new patients
St. Martin Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Cardiovascular Institute of the South, LLC Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Lsuhn Billing LLC CurrentSince Aug 25, 2020 Accepting new patients
Lafayette General Medical Center Inc. Cardiovascular Disease CurrentSince Jan 1, 2021 Accepting new patients
Premier Heart Associates, Inc Cardiovascular Disease Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

225 Dunn St
Houma, LA 70360
Phone (985) 446-2021

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

122 Wyoming St
Dayton, OH 45409
Phone (937) 438-8640

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste 101
Englewood, OH 45415

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

3006 N Dixie Hwy
Ste 104
Troy, OH 45373
Phone (937) 335-3518

Interoperability endpoints

  • Direct secure messaging: smawri194705@direct.hfhs.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1750725487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604440",
            "telephone_number": "985-876-0300",
            "fax_number": "985-876-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WYOMING STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-223-4461",
            "fax_number": "937-224-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWRI",
        "first_name": "SAGGER",
        "middle_name": "HAMEED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "322142",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "322142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.